1. Home
  2. Directory
  3. Pennsylvania
  4. Mt Lebanon
  5. Dermatology
  6. NPI Profile

MT. LEBANON DERMATOLOGY ASSOCIATES
NPI 1356111645
Dermatology - MOHS-Micrographic Surgery in Mt Lebanon, PA

Active since January 08, 2024CLIA 39D2302180 · Certificate of Compliance
607 WASHINGTON RD LOWR LEVEL, MT LEBANON, PA 15228(412) 563-0217 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2024, Sep 20, 2024 (2 updates tracked since 2024).

About Mt. Lebanon Dermatology Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MT. LEBANON DERMATOLOGY ASSOCIATES (NPI 1356111645) is a healthcare organization registered as a mohs-micrographic surgery in Mt Lebanon, Pennsylvania and active in the NPI registry since January 2024. The organization holds a CLIA Certificate of Compliance certificate valid through November 12, 2026 and lists Jeremy Udkoff, President, as its authorized official.

NPPES Registry Identity

NPI1356111645
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMEVE PC
Location Address607 WASHINGTON RD LOWR LEVELMt Lebanon, PA 15228-1903
Mailing Address607 Washington Rd Lowr LevelMt Lebanon, PA 15228-1903 · (412) 563-0217
Phone(412) 563-0217
Organization SubpartNo
Authorized OfficialJeremy UdkoffPresident · (412) 563-0217
Enumeration DateJanuary 8, 2024
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1356111645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
607 WASHINGTON RD LOWR LEVEL, Mt Lebanon, PA 15228
Open in Google Maps ↗

Other Names 1

Doing Business AsMt. Lebanon Dermatology Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mt. Lebanon Dermatology Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mt. Lebanon Dermatology Associates, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

David Lemchak, DO
Dermatology
NPI 1184071292
607 WASHINGTON RD LOWR LEVEL
Mt Lebanon, PA 15228
(412) 563-0217
✔ PECOS✔ Accepts MedicareSame address
Jeremy Udkoff
Micrographic Dermatologic Surgery (MDS)
NPI 1447756499
607 WASHINGTON RD LOWR LEVEL
Mt Lebanon, PA 15228
(412) 563-0217
✔ PECOS✔ Accepts MedicareSame address
Loren Funt, M.D.
Dermatology
NPI 1891757019
607 WASHINGTON RD LOWER LEVEL
Pittsburgh, PA 15228
(412) 440-0270
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 39D2302180

Dermeve PC · Pittsburgh, PA
Active · expires Nov 12, 2026
CLIA Number39D2302180
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorDr. Jeremy Udkoff
Laboratory Phone(412) 330-1354
Laboratory LocationDermeve PC607 Washington Road Lower Level, Pittsburgh, PA 15228
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermeve PC's NPI number?

The NPI number for Dermeve PC is 1356111645. It was assigned to this organization in the NPPES registry on January 8, 2024. The provider is doing business as Mt. Lebanon Dermatology Associates.

Where is Dermeve PC located?

Dermeve PC is located at 607 Washington Rd Lowr Level, Mt Lebanon, PA 15228. The listed phone number is (412) 563-0217.

What is Dermeve PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Dermeve PC enrolled in Medicare?

Yes. Dermeve PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermeve PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dermeve PC, in Dermatology and Micrographic Dermatologic Surgery (MDS). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermeve PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D2302180) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermeve PC was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.